Category Name: em@3am

em@3am

EM@3AM: Retroperitoneal Hematoma

A 70-year-old female with a past medical history of hypertension, coronary artery disease status post 2x drug eluting stent placement one month ago, atrial fibrillation on apixaban presents to the ED with weakness and lightheadedness. Vital signs include BP 90/48, HR 122, T 98.3 F, RR 16, SpO2 97% o...

em@3am

EM@3AM: Achilles Injury

A 45-year-old man presents with right calf pain after playing basketball earlier today. As he began to run for a ball, he felt a sudden sharp pain in the back of his leg, as if he had been kicked. He can bear weight but is unable to push off with his right leg. On exam, there is swelling and tendern...

em@3am

EM@3AM: Ureteral Stent Complications

A 55-year-old male with history of colon cancer, hydronephrosis, and right ureteral stent placed 10 weeks ago presents to ED with intermittent hematuria that has become more frequent over the last 3 days. He denies dysuria, fever, abdominal pain, or flank pain. His vital signs include BP 98/64, HR 9...

em@3am

EM@3AM: Hidradenitis Suppurativa

A 27-year-old woman with a history of obesity and diabetes presents to the emergency department for lesions on her axilla. The patient states that she has noticed these lesions for the past two years and assumed they were abscesses. The lesions have been tender, itchy, and with malodorous drainage. ...

em@3am

EM@3AM: Endometritis

A 37-year-old G2P2 female presents to the ED with a 2-day history of intermittent fever and foul-smelling vaginal discharge. She was discharged 3 days prior after a cesarean delivery to a single, full term, live born infant complicated by premature rupture of membranes. She notes associated chills a...

em@3am

EM@3AM: Amniotic Fluid Embolism

A 37-year-old G5P4 at 33 weeks presents to the ED after being brought in by ambulance. She had a precipitous delivery while the ambulance was pulling in. The newborn is doing well, but the mother is complaining of shortness of breath and chest pain. VS include BP 88/45, HR 121, T 97.1, RR 28, SpO2 8...

em@3am

EM@3AM: Traumatic Iritis

A 27-year-old male presents to the ED for left eye pain after being hit in the face with a spare car part while working under the hood of his car. He states his vision is slightly blurred, and he is experiencing significant pain. Physical exam reveals conjunctival injection, a red rim circumscribing his iris, and photophobia. What is the diagnosis, and how do we manage it from the ED?

em@3am

EM@3AM: Sialadenitis

A 70-year-old female with past medical history diabetes mellitus, hypertension, hyperlipidemia, dementia presents from nursing home with acute unilateral swelling along the left side of her face. She is breathing comfortably but seems to experience significant pain at the associated site of swelling...